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Organization
THRIVE PEDIATRIC THERAPY, LLC
Active
Organization
THRIVE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CABLE OT/L (OWNER, MANAGING DIRECTOR)
(904) 315-7373
Entity
Organization
Contact information
Practice address
3965 SAN JOSE BLVD, JACKSONVILLE, FL 32207-6060
(904) 613-1171
Mailing address
3965 SAN JOSE BLVD, JACKSONVILLE, FL 32207-6060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/29/2024
Last updated
01/02/2025
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